| NPI | 1760554356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 512691) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 512691) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-02-10 |