| NPI | 1881457018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4053700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153967) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2026-09-03 |