| NPI | 1013620814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 722937) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-305271) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-04-18 |