| NPI | 1326701251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 110761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 334437) |
| 163W00000X Registered Nurse (Licence: WV 72717) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0030259) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-05-30 |