| NPI | 1154189553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 14-79593-071) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 14-7953-071) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |