| NPI | 1366534547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH OH-07939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07939) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-04-29 |