| NPI | 1215313036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3009565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009565) |
| 363L00000X Nurse Practitioner (Licence: IN 71012714A) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3009565) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-06-22 |