| NPI | 1669814711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202003093NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 15002NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401821) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-09-16 |