| NPI | 1013353374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 412847) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2024-08-12 |