| NPI | 1699723064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 74387) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 74387) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-08-21 |