| NPI | 1063204535 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0038973) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-19 |