| NPI | 1245575547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 75539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 91594) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5375539102) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015036177) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2019-06-07 |