| 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 |