| NPI | 1720265473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP109814) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX 637964) |
| 367A00000X Advanced Practice Midwife (Licence: TX AP109814) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2023-04-21 |