| NPI | 1750530408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.024484) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.313539) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-03-21 |