| NPI | 1851968952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3016253) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: KY 1103933) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-12-23 |