| NPI | 1780712257 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP108939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP108939) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP108939) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-01-15 |