| NPI | 1407271661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81336-022) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP013713) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73838) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G142260) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2024-04-02 |