| NPI | 1326566399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 Psychiatric/Mental Health (Licence: OH CNP.021520) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-12-29 |