| NPI | 1396159505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3008614) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-11-03 |