| NPI | 1972934388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: WI 155-49) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WI 11147732) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2016-09-12 |