| NPI | 1437540689 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-155060-041) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS LPN 26464) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-06-30 |