NPI | 1114285376 |
---|---|
Other Name | LYNETTE MICHELLE PETTIBONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: OR DEM-LD-10182635) |
Additional Taxonomies | 374J00000X Doula (Licence: CA P301) |
176B00000X Midwife (Licence: WA MW60719565) | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2017-04-12 |