| NPI | 1962844902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.380677) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 238901) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-08-24 |