| NPI | 1205817301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 2243P) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 1048697) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-11-27 |