| NPI | 1720646680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: WA MW60901993) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-316325) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-01-05 |