| NPI | 1750017000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-311206) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1311189) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-07-19 |