| NPI | 1639433402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.14329-NP) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH RN.238411) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN-238411) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2020-12-22 |