| NPI | 1104186881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010291) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00050500) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2014-12-09 |