| NPI | 1205298320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 363492) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 022633) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-01-26 |