| NPI | 1780742775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005040) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 5040P) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3005040) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-10-29 |