| NPI | 1770974594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN179257) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 41986) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2026-05-11 |