NPI | 1033461181 |
---|---|
Former Name | KATHRYN FAGERLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: WA MW60331598) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2012-10-12 |
Last Update Date | 2013-08-29 |