| NPI | 1417224239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3007228) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3007228) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-82469-061) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2024-09-06 |