| NPI | 1629715206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83069-072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN229606) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-06-11 |