| NPI | 1760611578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA RN583041) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00046801) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2015-10-23 |