| NPI | 1073131793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00075901) |
| Additional Taxonomies | 176B00000X Midwife (Licence: PA MW010571) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-01-12 |