| NPI | 1215062161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN057361) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN057361) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-04-19 |