| NPI | 1972688026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 145235) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L20158) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2026-08-27 |