| NPI | 1326566399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61211363)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.021520)  | 
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021520)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.021520)  | |
| Enumeration Date | 2017-08-30 | 
| Last Update Date | 2022-12-29 |