| NPI | 1679119366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN284826) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-12-16 |