| NPI | 1215428669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 428075) |
| 163W00000X Registered Nurse (Licence: PA RN749771) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024934) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-08-09 |