| NPI | 1508353400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 99356) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: TX 150085) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-02-12 |