| NPI | 1083373195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 306496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 908115) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |