NPI | 1063711422 |
---|---|
Former Name | KATHERINE ROSE GIETZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 11295806) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2011-03-23 |
Last Update Date | 2013-04-25 |