| NPI | 1093067274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 765) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-314425) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2025-05-06 |