| NPI | 1962452169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 00298) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1042624) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 134450) | |
| 363L00000X Nurse Practitioner (Licence: KY 3001042) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3001042) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-04-23 |