| NPI | 1538516000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 19125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 19125-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193004) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 121962) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 121962) | |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2025-06-12 |