| NPI | 1427168814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.17801-NP) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH COA.02117-NS) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-04-12 |