| NPI | 1831446863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 20210443385)  | 
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA 13241-NS)  | 
| Enumeration Date | 2012-08-09 | 
| Last Update Date | 2024-02-08 |