| NPI | 1114451143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021213) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4023021) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN83514-PMHNP-BC) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190452) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-07-24 |