| NPI | 1477567063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.06522-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN173920) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH RN173920) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-11-14 |