NPI | 1912524521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.009867) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 137656) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2021-08-11 |