| NPI | 1598880684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 46092) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: KS 14-92141-032) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-01-06 |