| NPI | 1770247355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018599) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: KY 1141654) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2023-01-25 |