| NPI | 1255149340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5375860071) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: KS 14106367071) |
| 364SH1100X Clinical Nurse Specialist, Holistic (Licence: KS 14106367071) | |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-21 |