| NPI | 1093066946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 411865) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN126408) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-06-12 |