| NPI | 1518029727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3003009) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003009) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-03-17 |