| NPI | 1114966546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-44454-081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44784) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: KS 74504) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-03-09 |