| NPI | 1588172118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1129117) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012057) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2026-02-24 |