| NPI | 1093052300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP129322) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R204617) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2018-01-17 |