| NPI | 1285642892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74750) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 74750) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-12-08 |