| NPI | 1225646623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027370) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027370) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-05-25 |