| NPI | 1548414782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN135120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN135120) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-10-12 |