NPI | 1962925446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9487063) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9487063) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021232) | |
Enumeration Date | 2017-07-17 |
Last Update Date | 2020-06-08 |