| NPI | 1083195309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 79868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 110350) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-12-29 |