| NPI | 1831783067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3017360) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: KY 1085870) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2022-01-27 |