| NPI | 1285358341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MN 1112) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MN 343324) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2025-09-22 |