| NPI | 1821841438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030355) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH APRN.CNP.0036074) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-09-30 |