| NPI | 1841430204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005957) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 5957P) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2016-07-21 |