| NPI | 1770560716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 2728P) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 1044075) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2010-08-13 |