| NPI | 1942293154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN145456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN145456) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-04-18 |