| NPI | 1023756764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0031624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 429539) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-06-28 |