| NPI | 1205216660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 088379-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033664) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9378623) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC005489) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2025-06-27 |