| NPI | 1861044737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019015571) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5378763072) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13109339072) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2025-10-06 |