| NPI | 1659075729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 797255) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-313022) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-07-20 |