NPI | 1811426422 |
---|---|
Former Name | HEATHER KAUP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00061901) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00736700) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-07-21 |