| NPI | 1699142208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.18006-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.374635-1) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-01-23 |