| NPI | 1023745916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.416616) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032017) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.416616) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032017) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-01-05 |