| NPI | 1528882636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4030476) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 4030476) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 4030476) | |
| 2084P0805X (Licence: KY 4030476) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-07-31 |