| NPI | 1548860471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE00033349) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN376991) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |