| NPI | 1235303298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 759283) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 12689) |
| 367A00000X Advanced Practice Midwife (Licence: TX 759283) | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2020-12-03 |