| NPI | 1730693763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0129000130) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-308155) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2024-12-17 |