| NPI | 1083955942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11001574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.379759-) |
| 163W00000X Registered Nurse (Licence: NC RN9454548) | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-06-21 |