| NPI | 1932510203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209023427) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: IL L-35463) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2021-07-22 |