| NPI | 1083789788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN113269 NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN APN000007995) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-07-21 |