NPI | 1184950255 |
---|---|
Former Name | CRYSTAL MULLINS MUSSELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: VA 0129000050) |
Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
374J00000X Doula | |
Enumeration Date | 2009-10-26 |
Last Update Date | 2019-11-22 |