| NPI | 1528310158 |
|---|---|
| Former Name | ELIZA JENNIE OBBAGY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA RN2337624) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209013104) |
| 367A00000X Advanced Practice Midwife (Licence: NY 001505) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2020-11-07 |