| NPI | 1174900468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN60372) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: OH COA.17164-NP) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-11-07 |