| NPI | 1629406194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNA BAILEY Member 817-805-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2014-02-03 |