| NPI | 1912208117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00068200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN618861) |
| 176B00000X Midwife (Licence: NJ 25ME00068200) | |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010530) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2024-09-04 |