| NPI | 1700266517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN192379) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP127872) |
| 367A00000X Advanced Practice Midwife (Licence: TX AP127872) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-05-05 |