| NPI | 1831059260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-85444-011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2025046990) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-06-03 |