| NPI | 1730369356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3005354) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP 17796) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005354) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2024-05-23 |