| NPI | 1669786117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11615) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 269497) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183198) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 11615) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019754) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-04-01 |