| NPI | 1407278203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CO MWR.0000147) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA CLC) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |