NPI | 1538166541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002096) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3002096) |
364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: KY 2096-S) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-02-03 |