| NPI | 1972560266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ANRP2761292) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP2761292) |
| 363L00000X Nurse Practitioner (Licence: GA RN266196) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-04-14 |