| NPI | 1245657410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10024911) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027942) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN360822) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-04-23 |