| NPI | 1043330475 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010298) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN170073) | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010298) | |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024169329) | |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11010298) | |
| 367A00000X Advanced Practice Midwife (Licence: GA RN170073) | |
| Enumeration Date | 2007-03-30 | 
| Last Update Date | 2025-05-06 |