| NPI | 1104345974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN244399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN244399) |
| 367A00000X Advanced Practice Midwife (Licence: GA RN244399) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2023-05-11 |