| NPI | 1942261466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024156324) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: VA 0001156324) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: VA 0024156324) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2022-10-18 |