| NPI | 1962544189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OH COA02901NS) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN-187505) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-09-06 |