| NPI | 1962027847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-82235-012) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 53-78649) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-08-31 |