| NPI | 1770993420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP126846) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OK 71505) |
| 367A00000X Advanced Practice Midwife (Licence: TX 841562) | |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2019-12-14 |