| NPI | 1073824322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006506) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 6506P) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-12-06 |