| NPI | 1285018440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3016572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1139773) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2021-09-02 |