| NPI | 1134476088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.13636) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172219) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13636) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2022-09-30 |