| NPI | 1588760003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 45942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 45942) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 45942) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-01-09 |