| NPI | 1366509127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX 11168) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN2300690) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-07-10 |