| 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 |