| NPI | 1982992509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM299) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: ZZ L57467) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2017-04-19 |