| NPI | 1073628574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 879179) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99022) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-07-27 |