| NPI | 1679013155 |
|---|---|
| Former Name | PAIGE MCMULLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112365) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-318371) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2026-03-19 |