| NPI | 1013297019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505060) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH coa.13307-NP) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2025-08-14 |