| NPI | 1548409907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP110365) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 671886) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2023-04-12 |