| NPI | 1013216274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030899) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.137885) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2022-07-15 |