| NPI | 1619987906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3003733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3733M) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3733M) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-11-28 |