| NPI | 1659375590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3001777) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: KY 3001777) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-01-22 |