NPI | 1851064711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 220428) |
Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: OK L-304019) |
Enumeration Date | 2021-07-27 |
Last Update Date | 2024-10-10 |