| NPI | 1053972109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 025037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 446830) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-07-02 |