NPI | 1104393925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012601) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012601) |
Enumeration Date | 2018-10-30 |
Last Update Date | 2024-03-26 |