| NPI | 1487206983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8888) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00936500) | |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00068500) | |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00068501) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-01-13 |