| NPI | 1841594264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP #9247443) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL 9247443) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2013-08-27 |