| NPI | 1316603814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1163542) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 33950) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-05-09 |