| NPI | 1114041779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19091) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VT 101-0023301) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH COA.19091-NP) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-02-04 |