| NPI | 1710909197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NP07741) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP07741) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-10-30 |