| NPI | 1528251113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.09546-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH COA09546) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OH 285152) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4025979) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-09-09 |