| NPI | 1659521722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.10222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.267811-COA1) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2023-02-27 |