| NPI | 1689349243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 13-108974-091) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 219232) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2024-10-06 |