| NPI | 1891888038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119623) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX AP119623) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-06-04 |