| NPI | 1558913988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F07190832) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 135520) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-05-22 |