| NPI | 1316604010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 34005) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0030271) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-03-19 |