NPI | 1457639403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP128016) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA CNM0556) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV APN001446) | |
Enumeration Date | 2011-07-25 |
Last Update Date | 2017-03-23 |