| NPI | 1265989909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.387195) |
| 163W00000X Registered Nurse (Licence: PA RN767139) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.024376) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-04-16 |