| NPI | 1215556006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0030719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 447493) |
| 163W00000X Registered Nurse (Licence: OH RN.447493) | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2024-03-25 |