| NPI | 1164156980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0033783) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2022027778) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2023-11-01 |