| 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 |