| NPI | 1730901414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4011624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4011624) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-12-19 |