| NPI | 1639134893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3003650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003620) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71005412A) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-03-19 |