| NPI | 1316397318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNNP0032242) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN.395525) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-09-08 |