| NPI | 1619661857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023031138) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 53-82333-051) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5382333051) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-11-09 |