| NPI | 1437147253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN248794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07527) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.07527) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704232133) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-06-06 |