| NPI | 1417689670 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81354-121)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997678-NP)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023039618)  | |
| Enumeration Date | 2022-06-27 | 
| Last Update Date | 2024-01-09 |