NPI | 1326255969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3002453) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: KY 3002453) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2022-06-01 |