| NPI | 1942214713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 2457P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1059026) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-10-19 |