| NPI | 1356803506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010672) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00067900) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-04-28 |