| NPI | 1366403693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 74211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-39922-111) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-12-30 |