| NPI | 1457570822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH cnp.021322) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021322) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH cnp.021322) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-06-08 |