| NPI | 1679517817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: GA RN117303CNM) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0804009) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-06-12 |