NPI | 1831440825 |
---|---|
Former Name | AMELIA CATHERINE SHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25ME00051200) |
Additional Taxonomies | 176B00000X Midwife (Licence: NY F001604) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2014-05-06 |