| NPI | 1700907565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OH RN.210745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 210745) |
| 363L00000X Nurse Practitioner (Licence: OH 210745) | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: OH RN.210745) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-12-30 |