| NPI | 1871558908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 44172) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 44172) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-02-19 |