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 |