| NPI | 1669033734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013432) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 118628) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013432) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-09-17 |