| NPI | 1770998312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 796546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 796546) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-02-14 |