| NPI | 1205822459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010024) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NJ 25ME00015301) |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00015301) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-03-21 |