| NPI | 1619113966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 4777P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1089475) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2009-03-26 |