| NPI | 1245378843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0030383) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN. 248359) |
| 363L00000X Nurse Practitioner (Licence: OH 0030383) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2025-02-19 |