| NPI | 1497096028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-46164-061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-46164-061) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2025-01-29 |