| NPI | 1225049653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 2062S) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1023058) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-03-19 |