| NPI | 1528615556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175M00000X Midwife, Lay (Licence: NM 17170R) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NM L-303210) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-03-11 |