| NPI | 1871935759 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH COA.14432-NP) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |