| NPI | 1336444975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1059973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 687304) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 687304) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-05-09 |