| NPI | 1760858799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3009424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009424) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: KY 3009424) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-02-17 |