| NPI | 1396477030 |
|---|---|
| Former Name | THERES ELIZABETH REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-166288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781135) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |