| NPI | 1609178755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 11881NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.11881) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-09-29 |