| NPI | 1710426259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 664335) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-36079) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2021-03-26 |