| NPI | 1619586195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027218) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704381884) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61291744) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-07-29 |