| NPI | 1881379220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 4007130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1149377) |
| 176B00000X Midwife (Licence: KY 4007130) | |
| 367A00000X Advanced Practice Midwife (Licence: KY 4007130) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-07-31 |