| NPI | 1902824980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 283251-4402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 283251-4405) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-11-08 |