NPI | 1316526429 |
---|---|
Former Name | SHALLON MICHELLE MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-300797) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 145876) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-04-06 |