| NPI | 1073905154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 605384) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 605384) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |