| NPI | 1467124875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4002690) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 3015079) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-12-11 |