| NPI | 1649044371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1141565) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CNM09055) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1141565) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-14 |