| NPI | 1508316142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.020068) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OH RN.371434) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020068) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-08-03 |