NPI | 1609391721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC 354359) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201706368DP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC MONT-RWAAD) | |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-08-01 |