| NPI | 1134565047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN390424) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.139061) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2018-11-06 |