| NPI | 1992055503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011566) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021251) |
| 363L00000X Nurse Practitioner (Licence: MA RN2361301) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2024-04-17 |