| 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 |