| NPI | 1023539517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.426773) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2019-05-09 |