| NPI | 1033574991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT Nur-APRN-LIC-102079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18299-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT Nur-APRN-LIC-102079) | |
| Enumeration Date | 2015-12-20 |
| Last Update Date | 2018-03-28 |