| NPI | 1790132371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3010301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010301) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-02-03 |