| NPI | 1245365386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR DEM-LD-050361) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WA 11025535) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-04-01 |