| NPI | 1528437266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009466) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2023-01-05 |