| NPI | 1033980503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.515486) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH aprn.cnp.0037728) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-12-11 |