| NPI | 1023521606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN240377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240377) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN240733) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-01-22 |