| NPI | 1336385475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN166060) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN166060) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2016-02-24 |