| NPI | 1104149319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN150227) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN150227) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN150227) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN150227) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2025-08-06 |