| NPI | 1154834539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0026784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0028154) |
| 163W00000X Registered Nurse (Licence: OH RN.444863) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2024-08-29 |