| NPI | 1245471127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH cert. # 0310703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.255211) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |