| NPI | 1053800243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-78225-082) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-116112-082) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-02-05 |