| NPI | 1326770595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13559190-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 13559190-3102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0032362) | |
| 163W00000X Registered Nurse (Licence: OH RN.418428) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-12-17 |