| NPI | 1316168651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP0029859) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN122720) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP0029859) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-09-04 |