| NPI | 1114235157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 11125548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 716143) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2012-05-16 |