| NPI | 1396079661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 340661) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 340661) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997162) | |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2024-06-24 |