| NPI | 1235522475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3009283) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3009283) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: KY 1116867) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2021-09-29 |