NPI | 1194099556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: CA 471) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-132871) |
Enumeration Date | 2012-03-02 |
Last Update Date | 2019-12-31 |