| NPI | 1154778744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.025032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402910) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-07-15 |