| NPI | 1225742299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018891) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018891) |
| 363L00000X Nurse Practitioner (Licence: KY 3018891) | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2025-11-19 |