| NPI | 1245235613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3001671) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 04290027) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-08-09 |