| NPI | 1831595115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3120) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TN L-59180) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2021-03-10 |