| NPI | 1639908601 |
|---|---|
| Former Name | LUCINDA LOU KIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71015554A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71015554B) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |