| NPI | 1124552443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.022902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.434418) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2022-05-03 |