| NPI | 1952813859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036403) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN93779NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011642) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-06-06 |