| NPI | 1093750044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5378952072) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 076353) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 076353) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-03-21 |