| NPI | 1306355797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011666) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008164A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011666) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011666) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-08-23 |