| NPI | 1417553371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-157726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 743371) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |