NPI | 1538202817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015725) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 1072504) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2021-01-25 |