| NPI | 1831869627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029337) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185641) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024489) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-03-07 |