| NPI | 1114232873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11728) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 087534-23) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11728) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11728) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 087534-23) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2022-05-03 |