| NPI | 1356784482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9318578) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL 9318578) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 236377) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2014-11-02 |