| NPI | 1982338018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017951) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |