| NPI | 1215650288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0032324) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11038543) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704424811) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4043198) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2026-01-12 |