| NPI | 1093906265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 889) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 238321) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 238321) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |