| NPI | 1649630153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 024374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.288330) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN288330) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-03-13 |