| NPI | 1881132496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-82417-092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 129512) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-08-14 |