| NPI | 1801082037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.15733-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 335552) |
| 363L00000X Nurse Practitioner (Licence: KY 3009412) | |
| 363L00000X Nurse Practitioner (Licence: OH COA.15733-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15733-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009412) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2023-12-05 |