| NPI | 1396706560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 46235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-060633-021) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-04-26 |