| NPI | 1457591372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-76859-032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2006025799) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2025-08-13 |