| NPI | 1730616517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNCNP021449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 314966) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-08-04 |