| NPI | 1972176857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.379541) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-04-28 |