| NPI | 1528239779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15601) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0700457) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.15601-NP) | |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2019-10-28 |