| NPI | 1093017204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 83035) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 86129) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 86129) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2024-06-04 |