| NPI | 1962482364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP008470) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ ME00041200) |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010082) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2016-07-27 |