| NPI | 1255055364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1118610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN306454) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2026-01-06 |