NPI | 1427417153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010019) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010019) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28196212A) | |
Enumeration Date | 2016-02-23 |
Last Update Date | 2022-02-24 |