| NPI | 1700416690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 026421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F01200899) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 026421) | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-11-19 |