| NPI | 1275878779 |
|---|---|
| Former Name | GINA MARIE PENKA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 374J00000X Doula |
| 176B00000X Midwife | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2017-02-05 |