| NPI | 1083666085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KY 3004416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004416) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3004416) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-10-12 |