| NPI | 1982365649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM724) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-305466) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-12-21 |