| NPI | 1023052305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3002084) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 2084M) |
| 367A00000X Advanced Practice Midwife (Licence: OH RN.303543) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-07 |