| NPI | 1063451094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-59184-092) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74672) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |