| NPI | 1770635203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0129000142) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00020937) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-04-22 |