| NPI | 1063066637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-79161-012) |
| Additional Taxonomies | 163WN0800X Registered Nurse Neuroscience (Licence: MO 2017002712) |
| 363L00000X Nurse Practitioner (Licence: MO 2019043204) | |
| 363LF0000X Nurse Practitioner Family (Licence: KS 53-79161-012) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2024-10-08 |