NPI | 1003248246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3007800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1121772) |
367A00000X Advanced Practice Midwife (Licence: KY 1121772) | |
Enumeration Date | 2013-07-30 |
Last Update Date | 2016-07-05 |