| NPI | 1124395611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM558) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-34952) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2023-01-12 |