| NPI | 1861448029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1046931) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA 1329) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 1329) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-12-08 |