| NPI | 1861975716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.024475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.443955) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-11-12 |