| NPI | 1689822835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11485) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71002668) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209017744) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2020-05-06 |