| NPI | 1235680364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 320368-4402) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 320368-8900) |
| 367A00000X Advanced Practice Midwife (Licence: NC 682) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2018-04-20 |