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 |