| NPI | 1306165410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-21758) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 10918481) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2020-07-28 |