| NPI | 1225710973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: IL 295.000024) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 176B00000X Midwife (Licence: WI 522-49) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-07-17 |