| NPI | 1194421883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81633-032) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 5381633032) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-05-07 |