| NPI | 1457240525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13150335111) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5384573111) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-23 |