| NPI | 1396885158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP125647) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99007) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-07-03 |