| NPI | 1700676657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS TMP-163030) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 152419) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-163030) | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-07-02 |