| NPI | 1548428790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH APRN.CNP.09758) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.09758) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-06-24 |