| NPI | 1942630108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP128841) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP128841) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: SC 18601) | |
| 367A00000X Advanced Practice Midwife (Licence: SC 18601) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2015-10-08 |