| NPI | 1386255149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1148438) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 113533) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-05-30 |