| NPI | 1578913398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032670) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN.389261-) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-11-16 |