| NPI | 1518418417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.020072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH F1016039) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-03-29 |