| NPI | 1255781472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: KY 9000016) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-302879) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2026-06-11 |