| NPI | 1033123781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 516186) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 516186) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-01-27 |