| NPI | 1265934186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011134) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011134) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-10-28 |