| NPI | 1881605442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3004453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004453) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71006794A) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-09-27 |