| NPI | 1023262540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3004334) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004334) |
| 363L00000X Nurse Practitioner (Licence: KY 3004334) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2024-01-31 |