| NPI | 1396147435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0034778) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN385315) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN385315) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-02-13 |