| NPI | 1588005581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008147) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 3008147) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: KY 3008147) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-03-17 |