| NPI | 1316890932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-85469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-141287) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-04-29 |