| NPI | 1023410347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: LA 330193) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 176B00000X Midwife (Licence: UT 12304860-3400) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-09-15 |