| NPI | 1669995544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022357) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 416083) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7967) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2021-07-25 |