| NPI | 1730415266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: OH RN166734) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: OH RN166734) |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2009-10-17 |