| NPI | 1558010868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3107563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012567A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012567A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017563) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-12-04 |