| NPI | 1538162169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN202416) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420310-1) |
| 367A00000X Advanced Practice Midwife (Licence: NY 000916) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN202416) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-04-21 |