| NPI | 1063852283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123873) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX AP123873) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-05-07 |