| NPI | 1053995472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0028633) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71016041A) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP030708) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WV 117590) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3015967) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2025-04-10 |