| NPI | 1588614044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3002090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2090P) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-04-28 |