| NPI | 1679961288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r186093) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R186093) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-02-02 |