| NPI | 1831445055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH ARPN.CNP.022683) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28172867A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022683) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2025-03-12 |