| NPI | 1821218447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0031227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9427463) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00450700) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9427463) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-12-04 |