| NPI | 1144084526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4025639) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1158657) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 1158657) | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-08-13 |