| NPI | 1083691851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH NP07951) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP07951) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-06-15 |