| NPI | 1629576046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR DEM-LD-10195740) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99320) |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-149934) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2019-01-17 |