| NPI | 1871655233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 682021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 544593) |
| 367A00000X Advanced Practice Midwife (Licence: TX 682021) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-09-11 |