NPI | 1194114363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00057001) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00536300) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2021-12-20 |