| NPI | 1154483329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP109649)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 541951)  | 
| Enumeration Date | 2006-12-14 | 
| Last Update Date | 2024-06-12 |