| 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 |