| NPI | 1932729209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175M00000X Midwife, Lay |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 225100000X Physical Therapist (Licence: WV 2500) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-02-12 |