| NPI | 1891030417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4030433) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN9314378) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9314378) | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2024-11-15 |