| NPI | 1215647672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.328463) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032764) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-09-05 |