| NPI | 1255679049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020063) |
| 163W00000X Registered Nurse (Licence: OH 357984) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2025-12-12 |