| NPI | 1750837845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704285480) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704285480) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-09-03 |