| NPI | 1376992479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018008498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010023851) |
| 163W00000X Registered Nurse (Licence: KS 14-120352-082) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 78044) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-05-22 |