| NPI | 1326014846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1092530) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 4149P) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |