| NPI | 1700011871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH rx 08738) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.08738) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-03-08 |