Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1043821192 |
---|---|
Provider Name | Mrs. Elizabeth Marie Kramp |
First Address | Havertown, PA 19083-1029 |
Second Address | Philadelphia, PA 19107-5176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2020 |
Last Update Date | 12/08/2020 |