| NPI | 1558696013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA 16766-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN223343) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2021-12-27 |