| NPI | 1235170879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP017393) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP08733) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NP08733) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-11-09 |