| NPI | 1851764302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.18329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.18329-NP) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-10-22 |