| NPI | 1578633954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN126828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704158472) |
| 363L00000X Nurse Practitioner (Licence: NC 5011349) | |
| 367A00000X Advanced Practice Midwife (Licence: MA 255825) | |
| 367A00000X Advanced Practice Midwife (Licence: GA RN126828) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-03-30 |