| NPI | 1457523110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0027688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN337119) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0027688) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-08-14 |