| NPI | 1649635632 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00058701) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00058700) | 
| Enumeration Date | 2015-12-18 | 
| Last Update Date | 2015-12-18 |