| NPI | 1558594838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4762P) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3004762) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3004762) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2023-05-01 |