| NPI | 1780631663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45688) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-50216-032) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-07-29 |