| NPI | 1306481189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 80908) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 53-79073) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2022-02-22 |