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 |