| NPI | 1073943106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA-15366-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA 15366 NP) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15366) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-11-17 |