| NPI | 1174863559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 14308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14308) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2019-02-22 |