| NPI | 1891071924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022049695) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OK 95371) |
| 367A00000X Advanced Practice Midwife (Licence: TX 699258) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2025-09-10 |