| NPI | 1205965654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH CS07322) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 119272) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2013-12-09 |