| NPI | 1144814385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-80255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-80255) |
| 163W00000X Registered Nurse (Licence: KS 103494) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-11-29 |