| NPI | 1851566343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP010805) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010181) |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25mw00051001) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-10-04 |