NPI | 1982092524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009080) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009080) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2019-03-25 |