| NPI | 1962990630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 84914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 124677) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2025-10-28 |