| NPI | 1649779752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-79788-021) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 1146499) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020037586) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2020-11-16 |