| NPI | 1265616999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0030865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.331699) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-04-07 |