| NPI | 1326210725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3006591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106030) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2019-08-23 |