| NPI | 1407212590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010388) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00073301) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2022-12-09 |