| NPI | 1134191430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 207180) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 655158) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-05-31 |