| NPI | 1043768104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0039904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.403462) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2025-08-07 |