| NPI | 1902313869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0129-000155) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-131279) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2020-05-04 |