| NPI | 1891096582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 734462) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 734462) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2018-09-10 |