| NPI | 1144878810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0028426) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.311016) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN311016) | |
| 363L00000X Nurse Practitioner (Licence: OH 0028426) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-04-20 |