| NPI | 1932593480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83577-051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-98993-051) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2025-07-27 |