| NPI | 1235339987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 10128083) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR 10193191) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-09-16 |