| NPI | 1700344934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0027725) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: OH RN284477) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-10-08 |