| NPI | 1316150337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-75430-022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 100525) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017013541) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-10-17 |