| NPI | 1124545595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374J00000X Doula (Licence: HI GE-210-564-9664-01) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA 238515) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2021-10-31 |