| NPI | 1386893147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.10217) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-10217) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.10217) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: OH 10217NP) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-10-08 |