| NPI | 1659795961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014000711) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9451369) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: MO 20100005817) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9451369) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-05-25 |