NPI | 1689962276 |
---|---|
Former Name | ELAINE KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001421) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00049601) |
367A00000X Advanced Practice Midwife (Licence: NJ 25ME00049600) | |
Enumeration Date | 2011-07-16 |
Last Update Date | 2016-01-08 |