| NPI | 1366819617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18029-NP) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH 349039) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.18029) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2025-01-22 |