| NPI | 1477592293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 4634P) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-10-19 |