NPI | 1922482587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009556) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 3009556) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2021-03-09 |