| NPI | 1821358623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 339) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-311301) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-06-26 |