| NPI | 1174758320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.16105-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 342727) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2014-07-10 |