| NPI | 1063863314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130949) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX AP130949) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-08-16 |