| NPI | 1376975797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP14973) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017888) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192191) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137517TELE) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2025-01-06 |