| NPI | 1699283382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012001) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2026-06-08 |