| NPI | 1174081848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25MM000002900) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F001936-01) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 15-706) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-04-23 |