| NPI | 1174103618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1124860) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-10-21 |