Central Carolina Obstetrics & Gynecology

	Physicians Assistant Elmira J. Powell, PA-C
	Ms. Powell is a native of Raleigh, NC. She received her B.S. degree in health education and M.Ed. degree in counseling at University of North Carolina at Greensboro. She obtained her medical education as a physician assistant at Duke University. Training as a physician assistant encom- passes all of the major specialties of medicine and primary care. Her work experience includes women's
health, public health, primary care, and emergency medicine. She maintains national certification in her field. Ms. Powell is President-elect of the North Carolina Academy of Physician Assistants.

	Nurse Practitioner Carol Armer, CNM, FNP
	[NL]Ms. Armer is a graduate of the University of Mississippi Medical Center where she received her degree in Nurse-Midwifery (1984). As a Certified Nurse-Midwife (CNM), Carol practiced 13 years in S. Florida Hospitals serving in clinical and teaching positions. In addition, she was Director of Midwives in a large hospital based CNM practice prior to relocating to North Carolina. In 1997, she received her MSN in Family Practice from Florida Atlantic
University in Boco Raton, Florida. As a FNP, she expanded her education and experience in obstetrics & gynecology to include primary care & internal medicine. Ms. Armer joined Central Carolina Ob/Gyn February 2002.

	Certified Nurse Midwives
[PARA]Certified Nurse-Midwives (CNMs) are nurses who have furthered their education specifically in the care of women throughout their life span. The CNMs are available to offer physical examinations, pap smears, contraceptive counseling and treatment, preconception [NL]counseling and prenatal care and delivery of low risk obstetrical patients.[NL][NL]The CNMs work in close consultation with the physicians of Central Carolina Obstetrics & Gynecology who will serve as referral physicians for any gynecological or obstetrical complications.

	Sharon D. McDonough, CNM Ms. McDonough is a graduate of Duquesne University, Pittsburgh, Pennsylvania with a B.S. in nursing. She began her professional career in 1998 and worked for many years as a medical-surgical nurse before discovering her passion for obstetrics and gynecology. While living in Washington, DC she attended Georgetown University where she obtained her Master's Degree and became certified in Nurse-Midwifery in 1996. Ms. McDonough began practicing
at Central Carolina OB/GYN in July 2000.

	Vicki L. Latham, CNM
	[NL]Ms. Latham is a graduate of the University of North Carolina at Chapel Hill, with a B.S. in nursing. She began her professional career in 1983 at The Moses H. Cone Memorial Hospital and has served in clinical, educational, and management positions. In 1988, Vicki obtained her Masters Degree in Neonatal-Perinatal Nursing at Emory University and returned as Clinical Nurse Specialist in labor and delivery at Moses Cone and
The Women's Hospital of Greensboro. While continuing to work at The Women's Hospital, she obtained her certificate in Nurse-Midwifery from the Frontier School of Mid-Wifery and Family Nursing. Ms. Latham began practicing at Central Carolina OB/GYN in April 1996.

	Marie Williams, RNC, MSN, CNM
	Ms. Williams joined Central Carolina OB/GYN in January 2001. She began her nursing career in 1983 at East Carolina University where she earned her BSN. She subsequently completed her MSN in critical care and high-risk obstetrics at Duke University in 1992. Ms. Williams obtained her post-masters certificate in Midwifery at Emory University in 1998. In addition to her Midwifery experience, she worked in
critical care nursing as a clinical nurse specialist in obstetrical care.

	Kimberly D. Shaw, CNM
	Ms. Shaw is a graduate of Messiah College in Harrisburg, PA with a B.S. in nursing. She then began working in the Moses Cone Health System in critical care and maternal & child health as a staff nurse. While working at The Women's Hospital of Greensboro, Ms. Shaw obtained her Masters in Nurse-Midwifery from Western Reserve University in Cleveland, Ohio. She began practicing at Central Carolina OB/GYN in March 2002.

	Nona Smith , CNM Ms. Smith, CNM is a 1983 graduate of UNC-Greensboro with a BS in nursing. She then completed a Masters Degree in Nursing/Nurse-Midwifery program at East Carolina University in 1999. She practiced as a RN in the areas of adult critical care, labor & delivery, antepartum testing and high-risk perinatal research before beginning practice as a CNM. Ms. Smith is also a Registered Diagnostic Medical Sonographer with credentials
and experience in obstetrics and gynecology ultrasound. She joined Central Carolina OB/GYN in July 2006.