| NPI | 1366680761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: UT 8858598-3400) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2014-02-04 |