| NPI | 1760182604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI DICKERSON Owner/Operator 972-765-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |