| NPI | 1346518222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: OH 2022092963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 12951np) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12951-NP) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2023-01-30 |