NPI | 1194077032 |
---|---|
Other Name | MONICA THERESA WALLACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: FL MW326) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2012-10-02 |
Last Update Date | 2016-03-14 |