| NPI | 1457972721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AR 231119) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX AP145890) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-09-16 |