| NPI | 1871832485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.15425-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1075258) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007925) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-03-28 |