| NPI | 1780712257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP108939) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 601298) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-06-07 |