| NPI | 1396964102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1090669) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY CEP11471) | |
| 363L00000X Nurse Practitioner (Licence: KY 3010637) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010637) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-09-19 |