| NPI | 1992178826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A173265) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IA L-85679) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2023-02-17 |