| NPI | 1801303631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM586) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-134970) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-08-13 |