| NPI | 1811485089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 82318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 136652) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-06-23 |