| NPI | 1619189784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN089764) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN089764) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-10-17 |