| NPI | 1104275031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010700) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IN 28163941A) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 1133702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010700) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-05-08 |