| NPI | 1679365696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OK 201880) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OK 201880) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |