| NPI | 1730827908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3017799) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 3017799) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |