| NPI | 1295481083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5383487051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 108988) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-01-17 |