| NPI | 1912991969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 2403P) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 2403M) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2014-10-29 |