Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 175M00000X | Lay Midwife | ||
N | 176B00000X | Midwife |
NPI | 1235740796 |
---|---|
Provider Name | Mrs. Niulquie Mckinney |
First Address | Irvington, NJ 07111-2022 |
Second Address | Irvington, NJ 07111-2022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 29/11/2021 |