| NPI | 1376783191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH COA.03691-NS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.200658-COA1) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2017-06-22 |