| NPI | 1306469994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106020) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-12-02 |