| NPI | 1447085402 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-136140) | 
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 345738) | 
| Enumeration Date | 2024-09-07 | 
| Last Update Date | 2024-09-07 |