| NPI | 1184958324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-46144) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 46144) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2026-05-05 |