| NPI | 1750822524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5377362112) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 5377362112) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2023-03-10 |