NPI | 1154168086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83411-121) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012023983) |
163W00000X Registered Nurse (Licence: KS 14-116708-121) | |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-24 |