| NPI | 1811490204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN84284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022924) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN84284) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022924) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2025-08-21 |