| NPI | 1487029872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-294189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI ETL03796) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA RN-519720L) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI ETL03796) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2020-12-17 |