| NPI | 1689670168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH NP 08305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-08305) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-11-15 |