| NPI | 1740532639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: TX 10320149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 539894) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |