| NPI | 1265711170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNCNP026015) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: OH APRN..CNP.12269) |
| 364S00000X Clinical Nurse Specialist (Licence: OH COA12269NS) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH RN312421) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-11-20 |