| NPI | 1255977047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP143233) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX AP143233) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP143233) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2023-01-11 |