| NPI | 1982247722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1095220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1095220) |
| 367A00000X Advanced Practice Midwife (Licence: DE LK-0000202) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-06-28 |