| NPI | 1447225958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNS01900) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN 21-15-7150) |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2018-02-15 |