| NPI | 1336645753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.023249) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: OH RN385501) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.023249) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-02-20 |