| NPI | 1205372422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5215602) |
| Additional Taxonomies | 374J00000X Doula (Licence: FL SBD20110454) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |