| NPI | 1033549043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008381) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-05-12 |