| NPI | 1063858165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.426129) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH cnp0033745) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH cnpoo33745) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-05-23 |