| NPI | 1659310225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00923000) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NJ 25ME00064900) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420998) | |
| 176B00000X Midwife (Licence: NY 001229) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-09-12 |