| NPI | 1295711893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY ARNP2847P) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY RN1033544) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |