| NPI | 1386994994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH coa13936np) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 358483) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-02-17 |