| NPI | 1740241694 |
|---|---|
| Former Name | JENNIFER LEE GAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9371409) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ARNP9371409) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-06-15 |