| NPI | 1174142236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11006863) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039829) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4042987) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-09-18 |