| NPI | 1811568520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4006283) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: KY 1158182) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-01-02 |