| NPI | 1407995327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.09264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH APRN.CNP.09264) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP-09264) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-07-19 |