| NPI | 1124871942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 11772267-4405) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 11772267-4402) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |