| NPI | 1902238041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 17126-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411083-1) |
| 163W00000X Registered Nurse (Licence: CO RN.1620741) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0103549-NP) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-09-09 |