NPI | 1942208376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45106) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KS 13-70374-082) |
174400000X Specialist (Licence: 187-10242) | |
174N00000X Lactation Consultant, Non-RN (Licence: L-33851) | |
367A00000X Advanced Practice Midwife (Licence: KS 75752) | |
Enumeration Date | 2005-07-10 |
Last Update Date | 2023-03-07 |