| NPI | 1710036454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 99311) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT07165) |
| 174N00000X Lactation Consultant, Non-RN | |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-17418) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-10-20 |