Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 25ME00007700 | NJ |
NPI | 1104091503 |
---|---|
Provider Name | Ms. Kathryn L Mcelroy |
First Address | Plainfield, NJ 07063-1000 |
Second Address | Plainfield, NJ 07063-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 08/04/2013 |