| NPI | 1205641016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-93698-111) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2005018031) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |