| NPI | 1104693324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00085101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26RN16127800) |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00085100) | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-29 |