| NPI | 1043686967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.155408) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 173937-30) |
| 363L00000X Nurse Practitioner (Licence: WI 6561-33) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2026-06-30 |