| NPI | 1548516040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3007540) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: KY 3007540) |
| 363L00000X Nurse Practitioner (Licence: KY 1114949) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3007540) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-04-15 |