| NPI | 1386986248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH COA.14140-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.241197-COA1) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2014-02-19 |