| NPI | 1356636328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033279) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0010492) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-02-23 |