| NPI | 1063609287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.09551) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH NP-09551) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.09551) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2024-01-25 |