| NPI | 1043811540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030585) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 380395) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00039891) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-18 |