NPI | 1477055127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: TX 618778) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-16156) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-07 |