| NPI | 1215230446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KY 3006713) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3006713) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2023-06-05 |