| NPI | 1669732624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.13011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13011-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001646) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704312027) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7391) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2020-03-10 |