| NPI | 1477253284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033409) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998250-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.489532) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |