| NPI | 1730557893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 469046-1) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 469046-1) | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2024-03-22 |