| NPI | 1912218983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.15092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 55395) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN 276947-COA1) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2021-07-16 |