| NPI | 1386164606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP133394) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP133394) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX AP133394) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-08-31 |