| NPI | 1891107322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241588) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN186459) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP241588) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-07-01 |