| NPI | 1174063234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011180) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH ARNP.CNP.021601) | |
| 363L00000X Nurse Practitioner (Licence: KY 3011180) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-12-30 |