| NPI | 1871742817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 56529) |
| Additional Taxonomies | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: KS 74637) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74637) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2017-03-23 |