| NPI | 1558982843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN243651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN243651) |
| 363L00000X Nurse Practitioner (Licence: GA RN243651) | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2021-02-16 |