| NPI | 1861800492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH COA.02677-NS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.126116-COA1) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |