| NPI | 1396394789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.025267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R240321) |
| 163W00000X Registered Nurse (Licence: OH RN.424302) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-06-07 |