| NPI | 1417511007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.024876) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN.351959) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024876) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2021-11-16 |