| NPI | 1912477589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN410283) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH APRN.CNP.0029371) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-08-02 |