| NPI | 1366542474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3004078) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 4078P) |
| 367A00000X Advanced Practice Midwife (Licence: KY 3004078) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-12-06 |