| NPI | 1013783752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2023151459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030185) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 2021103041) | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |