| NPI | 1285038299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76434-072) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-03-11 |