| NPI | 1568559268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 5215P) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 666168) |
| 363L00000X Nurse Practitioner (Licence: KY 5215P) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-02-29 |