| NPI | 1588853816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital (Licence: OH RN284714APRNCNP10013) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN284714) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH RN284714) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-07-31 |