| NPI | 1942759352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383001) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 604599-1) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-07-04 |