| NPI | 1063898906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9413497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.399143) |
| 163W00000X Registered Nurse (Licence: FL RN9413497) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023984) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-10-01 |