| NPI | 1932711058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012948) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |