| NPI | 1326588526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 2019060509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78162) |
| 363L00000X Nurse Practitioner (Licence: OK 105746) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG02170049) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-09-13 |