| NPI | 1891774238 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NM 612)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 558332)  | 
| Enumeration Date | 2006-01-13 | 
| Last Update Date | 2010-12-03 |