NPI | 1629157953 |
---|---|
Former Name | PAMELA LOUISE ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25ME0002223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR06094700) |
176B00000X Midwife (Licence: NJ 25ME00022301) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2021-10-22 |