| NPI | 1154755692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00066500) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00447400) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2019-02-25 |