| NPI | 1811053788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP143553) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 32039) |
| 367A00000X Advanced Practice Midwife (Licence: SD sd-cm000035) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-12-19 |