| NPI | 1669850178 |
|---|---|
| Former Name | COURTNEY BACHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3009155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3009155) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2021-03-24 |