| NPI | 1063845204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0041007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 386170) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2025-12-20 |