| NPI | 1396745899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3003731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003731) |
| 163W00000X Registered Nurse (Licence: OH 259097) | |
| 163W00000X Registered Nurse (Licence: KY 1098243) | |
| 363L00000X Nurse Practitioner (Licence: OH NP08845) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-07-13 |