| NPI | 1033134143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 45638) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: KS 53-45638-111) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-10-24 |