NPI | 1174896989 |
---|---|
Former Name | MEREDITH SUE ANNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00075001) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA MW010265) |
367A00000X Advanced Practice Midwife (Licence: PA MW010265) | |
Enumeration Date | 2012-02-10 |
Last Update Date | 2021-06-10 |