| NPI | 1093520918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-84263-052) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2014024313) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025008228) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-04-15 |