| NPI | 1588050793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NP-17350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.358440) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 2012018623) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2016-05-02 |