| NPI | 1316237027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 779229) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX 7747) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |