| NPI | 1699085126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn318583) |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 318583) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP8453) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-08-05 |