| NPI | 1306635396 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1177016) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95272754) | 
| 163WG0000X Registered Nurse, General Practice (Licence: TX 1177016) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 1177016) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 95272754) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 1177016) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 95272754) | |
| Enumeration Date | 2025-05-05 | 
| Last Update Date | 2025-05-05 |