| NPI | 1518299346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN-127004) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH AT-000370) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |