| NPI | 1639405962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5375020122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375020122) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2023-06-01 |