| NPI | 1174862270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH COA.05126-NS) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 05126) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2020-10-14 |