| NPI | 1659563682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 200589-4405) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 200589-4402) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-02-25 |