| NPI | 1174081632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61591060) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35235) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704410733) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704410733) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 396374) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA AP61591060) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190074) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0024190074) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2025-10-27 |