| NPI | 1407307473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 020170) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 020170) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2024-06-26 |