| NPI | 1487046306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175163) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019359) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020408) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2023-12-13 |