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 |