| 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 |