| NPI | 1629603519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA 104606269) |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00072501) | |
| 367A00000X Advanced Practice Midwife (Licence: PA CNM06261) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2024-07-12 |