| NPI | 1629003405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-45868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-45868) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45868) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-03-26 |