| NPI | 1639457104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.12445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA12445NP) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-12-18 |