| NPI | 1508813908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY RN1044608) |
| 367A00000X Advanced Practice Midwife (Licence: KY CNM2899M) | |
| 367A00000X Advanced Practice Midwife (Licence: KY 10374) | |
| 367A00000X Advanced Practice Midwife (Licence: OH COA.04214-NM) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2014-09-11 |