| NPI | 1821581612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: GA RN261804) |
| Additional Taxonomies | 176B00000X Midwife (Licence: GA CNM04860) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN261804) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-06-12 |