| NPI | 1891165312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX CNM2763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128917) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2017-01-10 |