| NPI | 1144657602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 835298) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 835298) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-01-28 |