| NPI | 1407820020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3002995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1062114) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3002995) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-07-21 |