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 |