| NPI | 1467986695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-10590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 567933) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |