| NPI | 1598227514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175M00000X Midwife, Lay (Licence: VT 107.0129904) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |