NPI | 1316361272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010211) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-78015-072) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5649) | |
163W00000X Registered Nurse (Licence: KY 1146198) | |
363L00000X Nurse Practitioner (Licence: MN 2461785) | |
Enumeration Date | 2014-02-13 |
Last Update Date | 2021-05-11 |