| NPI | 1427457803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171916) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 19367) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008617) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-05-11 |