| NPI | 1063097061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 901128) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-301024) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |