NPI | 1669167029 |
---|---|
Former Name | ASHLEY RENEE KIDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-310226) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-11-09 |