| NPI | 1447638325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190494) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.17222) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190494) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-08-01 |