| NPI | 1528236262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH NP12922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP12922) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 5551P) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2018-03-17 |