| NPI | 1013394055 |
|---|---|
| Doing Business As | MY PURE DELIVERY |
| Entity Type | Organization |
| Authorized Contact | DIBA AZIN TILLERY Owner 512-765-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 174N00000X Lactation Consultant, Non-RN | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-05-19 |