| NPI | 1669561874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.02576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.178508-COA1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-07-21 |