| NPI | 1467822049 |
|---|---|
| Former Name | JESSICA R KIRST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3009797) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1103945) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-08-19 |