| NPI | 1053335778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 748666) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WI 32) |
| 363L00000X Nurse Practitioner (Licence: WI 2330) | |
| 163W00000X Registered Nurse (Licence: TX 113049) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-10-16 |