| NPI | 1679819643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL MW 263) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 54878) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2013-10-25 |