| NPI | 1902958663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN068688) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 9301508) |
| 363L00000X Nurse Practitioner (Licence: FL 9301508) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-04-27 |