| NPI | 1770137440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R206790) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD L-121368) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-01-05 |