| NPI | 1265618011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0035816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.380802) |
| 163W00000X Registered Nurse (Licence: OH 380-802) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 380-802) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN 380-802) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2024-07-11 |