| NPI | 1558347880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 737617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 236206) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2022-03-30 |