| NPI | 1811140114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3005862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1033706) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2014-02-28 |