| NPI | 1518262468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH COA 03055-NS) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN 126741-COA-1) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |