| NPI | 1386959997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY Louisville) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704279171) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-09-26 |