| NPI | 1659712867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015619, 04128140) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL 041281402) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-07-26 |