| NPI | 1841447059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005681) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005681) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-10-08 |