| NPI | 1750674966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 12251-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704263277) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704263277) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2016-02-10 |