| NPI | 1063936268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN271275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1043576) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN271275) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: GA RN271275) | |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2022-04-13 |