| NPI | 1487652434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 839 P) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 839P) |
| 367A00000X Advanced Practice Midwife (Licence: KY 839 M) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-08-06 |