| NPI | 1831237668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3000559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3000559) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: KY 3000559) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-01-14 |