| NPI | 1629213665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 75458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 102604) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 75458) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2025-07-17 |