NPI | 1801554753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-80830) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 136183) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2023-09-20 |