| NPI | 1942736012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 511464) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 13608) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2024-08-16 |