| NPI | 1811957350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 30033000) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A095827) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: IA A095827) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3003300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A095827) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 2019052474) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-12-04 |