| NPI | 1881445518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4017062) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 4017062) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-04-08 |