| NPI | 1477601474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 2757P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1050157) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 2757S) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-11-09 |