| NPI | 1508101965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-77781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02095) |
| 363L00000X Nurse Practitioner (Licence: KS 53-77781) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2023-09-15 |