| NPI | 1770540817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4779P) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 4779M) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |