| NPI | 1073003117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV APRN64058-NP-C) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WV APRN64058-NP-C) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.024594) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-01-21 |