NPI | 1538633151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-108392) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 322415) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |