NPI | 1689332488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 8622515) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-303691) |
Enumeration Date | 2021-11-30 |
Last Update Date | 2024-06-07 |