| NPI | 1851646988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343960-1) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NJ 26NR11521600) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 356551) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2019-06-07 |