| NPI | 1063733970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036730) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn103316) |
| 163W00000X Registered Nurse (Licence: OH RN425615) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-07-31 |