| NPI | 1093747784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.020858) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH COA.08537-NS) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-07 |