| NPI | 1053776823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-77941-081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2015030554) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2017008671) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2024-10-07 |