| NPI | 1689237745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 4924271) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 4924271-4405) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-03-02 |