| NPI | 1073764981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 167836) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN167836) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2013-10-08 |