| NPI | 1508844002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3002584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY arnp2584) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-10-24 |