| NPI | 1750264628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00092200) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ pending) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |