| NPI | 1922195445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4972P) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-05-29 |