| NPI | 1578075313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 175M00000X Midwife, Lay | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-03-17 |