| NPI | 1558323162 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 26NJ00120400) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166191) | 
| Enumeration Date | 2006-04-06 | 
| Last Update Date | 2019-10-17 |