| NPI | 1215637061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374J00000X Doula (Licence: PA 1809417) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: PA 05F6621D) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |