| NPI | 1881938926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012288) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 5012288) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704280936) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 14085.APRN) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-03-19 |