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 |