| NPI | 1982157087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 085393) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 085393) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT L-85581) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |