| NPI | 1023538378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 77722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77722-091) |
| 163WG0000X Registered Nurse, General Practice (Licence: KY 13-104983-091) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-11-01 |