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 |