| NPI | 1144328105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 09040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.09040-NP) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-08-28 |