| NPI | 1861799983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11559) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-101843) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11559-NP) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-12-15 |