| NPI | 1356896518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1114322) |
| 363L00000X Nurse Practitioner (Licence: KY 3010499) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010499) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-05-29 |