| NPI | 1124897988 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00085001) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15025200) | 
| Enumeration Date | 2023-12-21 | 
| Last Update Date | 2024-12-31 |