| NPI | 1194949156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1079374) |
| 363L00000X Nurse Practitioner (Licence: KY 3004498) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3004498) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-10-20 |