| NPI | 1023124104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 659312) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OK 070704) |
| 176B00000X Midwife (Licence: TX 659312) | |
| 367A00000X Advanced Practice Midwife (Licence: OK R0070704) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-04-16 |