| NPI | 1174343867 |
|---|---|
| Former Name | CHARLENE MARIE REIERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 150069-32) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WI L-162701) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |