| NPI | 1013990845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 04876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.04876) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP009089) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP009089) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2024-01-02 |