| NPI | 1376287052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 291636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.491659) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0031222) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-06-26 |