| NPI | 1316071368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.05966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN161405-06) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-04-28 |