| NPI | 1588076483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 734129) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 734129) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-05-28 |