NPI | 1467905471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145224) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-87846) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 809899) | |
Enumeration Date | 2016-07-26 |
Last Update Date | 2025-01-17 |